@glennmcc - You will do well with statins, once you find the best dose for you.
Diet is important- low-fat- and you are already exercising.
What is your blood sugar like? You don’t want to develop Type 2 diabetes- it increases your risk of coronary artery disease.
Have you had a stress test yet? Echocardiogram?
I see my internist twice a year for screening- lab work. Also stress test once a year or so. Echocardiogram annually.
The goal is to lower your cholesterol as much as possible, blood pressure control and a healthy diet.
I have genetic predisposition for coronary artery disease- my doctor is working hard to keep me healthy!